Patient Services Rep III

Software Guidance & Assistance, Inc., (SGA), is searching for a Patient Services Rep III for a Contract assignment with one of our premier Healthcare clients in Asheville, NC .

Responsibilities :

• Patient Registration: At registration, enters complete accurate patient demographic and insurance
  information in system. Greet patient, verify and correct any demographics and insurance
  information, copy insurance card and ensure copy is added to patient medical record.
  Communicate any changes in demographic and insurance information to the appropriate areas.
  Obtain updated patient registrations signature with date and ensure that the form is added to
  patient record. Collects and enters co-pay.
• Patient Check Out: At check out, verify patient charges in electronic system, recheck insurance
  information, schedule return appointments if appropriate and collect balances due. Run
  appropriate daily close reports, reconciling all cash, checks and credit card charges received for
  each business day. Verify charges in charge audit work queue and correct errors before releasing
  charges. Complete individual and/or practice reconciliation report including bank deposit slip.
• Scheduling: When scheduling appointment, enter necessary patient demographics if new patient;
  verifies information if established patient. Chooses appointment time based on patient request,
  physician/provider availability and urgency of appointment.
• General Clerical Duties: File. Make Copies. Answer the telephone, provide accurate follow up,
  take and communicate messages.
• EPIC and Charge Entry Audit: Responsible for resolving Work Queues in Epic including, but not
  limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor.
  Research and analyze denials, correct errors to ensure charges captured and processed and goal
  for site errors is met or exceeded. Respond to patients and staff for billing and insurance
  questions. Resolve work queue errors & denials through research and analysis by reviewing chart
  and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims
  processing. Work closely with practice coder in resolution process. Respond to requests from
  practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure
  accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge
  capture when necessary.

Required Skills:

• High School Diploma/GED
• 1+ years experience in a medical office setting
• Knowledge of medical office software for the following: updating patient demographic information,
  posting charges, copays, and scheduling patient appointments.
• Requires excellent verbal communication skills.
• Must be able to work with changing priorities.
• Requires excellent organizational, problem solving and critical thinking skills.
• Must be able to interact with individuals of all cultures and levels of authority.
• Requires the ability to maintain confidentiality. Must be able to function as part of a team.
• Must possess initiative. Basic medical terminology required, knowledge can be obtained through formal classes or work experience.
• High level of working knowledge of EPIC systems. Detailed knowledge of multiple payors billing requirements.
• Familiarity of coding requirements for practice specialty.

SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at .

SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company to request an accommodation or assistance regarding our policy.
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